Case Mix Index And Wage Index Table By CCN Final Rule

$179 / year

This dataset contains the non-transfer adjusted Case Mix Index (CMI) based on the Medicare Severity Diagnosis Related Groups (MS-DRGs) billed on the claim in the year the claim was incurred.

Complexity

Section 1886(d)(3)(E) of the Social Security Act requires that, as part of the methodology for determining prospective payments to hospitals, the Secretary must adjust the standardized amounts “for area differences in hospital wage levels by a factor (established by the Secretary) reflecting the relative hospital wage level in the geographic area of the hospital compared to the national average hospital wage level.” This adjustment factor is the wage index. We currently define hospital geographic areas (labor market areas) based on the definitions of Core-Based Statistical Areas (CBSAs) established by the Office of Management and Budget and announced in December 2003. The wage index also reflects the geographic reclassification of hospitals to another labor market area in accordance with sections 1886(d)(8)(B) and 1886(d)(10) of the Act. Note that in the FY 2012 IPPS final rule, Centers for Medicare and Medicaid Services (CMS) finalized a policy that allows a Lugar hospital that is eligible for and accepts the outmigration adjustment to automatically waive its urban status for the 3-year period for which the outmigration adjustment is effective.

Note:

1.The CCNs with a “B” in the 4th position indicate a campus of an MCH located in a different CBSA from the main provider. The campus’s wages and hours are allocated to the CBSA of its physical location. The wage index reflects the CBSA of its location, or the MGCRB reclassified wage index, if applicable. The case-mix index and average hourly wages are not separated by campus; they reflect the provider as a whole.

2.A blank indicates FY 2015 MedPAR (which is used for the FY 2018 rates) was not available for the provider, and therefore, this provider was not included in the rate setting process.

3.This is the hospital’s final FY 2018 wage index with all applicable adjustments.

4.A blank indicates wage data not available for the CCN for the fiscal year or all three fiscal years.

5.Hospitals cannot receive the out-migration adjustment if they are reclassified under section 1886(d)(10) of the Act or redesignated under section 1886(d)(8)(B) of the Act or redesignated under section 1886(d)(8)(E) of the Act.

Date Created

2015

Last Modified

2017-09-29

Version

2017-09-29

Update Frequency

Annual

Temporal Coverage

NA

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

NA

Source Citation

NA

Keywords

Wage Index Tables, Wage Index, Case Mix Index, Lugar Hospitals, Social Security Act, Geographic Reclassification of Hospitals

Other Titles

Wage Index Tables Final Rule and Correction Notice, CMS Mix and Case Index

NameDescriptionTypeConstraints
CMS_Certification_NumberCMS Certification Numberstring-
Indexes_For_Discharges_Occurring_In_Federal_Fiscal_Year_2016Case-Mix Indexes for Discharges Occurring in Federal Fiscal Year 2016numberlevel : Nominal
Wage_Index_2018Wage Index CCN Correction Notice for FY 2016numberlevel : Nominal
Average_Hourly_Wage_FY_2016Average Hourly Wage Index Final Notice for FY 2016numberlevel : Nominal
Average_Hourly_Wage_FY_2017Average Hourly Wage Index CCN for FY 2017numberlevel : Nominal
Average_Hourly_Wage_FY_2018Average Hourly Wage Index for FY 2018numberlevel : Nominal
Average_Hourly_Wage_2016_2017_20183-Year Average Hourly Wage (2016, 2017, 2018)numberlevel : Nominal
Geographic_CBSAGeographic Core-Based Statistical Areasnumberlevel : Nominal
Reclassified_Redesignated_CBSAReclassified or Redesignated Geographic Core-Based Statistical Areasintegerlevel : Nominal
Lugar_NECMALugar New England County Metropolitan Area (NECMA)string-
Is_MGCRB_ReclassMedicare Geographic Classification Review Board (MGCRB) Reclassboolean-
Is_Hospital_Reclassified_As_RuralHospital Reclassified as Rural Under Section 1886(d)(8)(E) of the Act (412.103)boolean-
Out_Migration_AdjustmentOut-Migration Adjustment related to Wage Indexnumberlevel : Nominal
County_NameCounty Namestring-
County_CodeCounty Codenumberlevel : Nominal
CMS Certification NumberIndexes For Discharges Occurring In Federal Fiscal Year 2018Wage Index 2019Wage Index Prior To Quartile And Transition 2020Wage Index With Quartile 2020Wage Index With Quartile And Cap 2020Average Hourly Wage FY 2018Average Hourly Wage FY 2019Average Hourly Wage FY 2020Average Hourly Wage 2018 2019 2020Geographic CBSAReclassified Redesignated CBSALugar NECMAIs MGCRB ReclassifiedIs MGCRB Reclassified To HomeIs Hospital Reclassified As RuralOut Migration AdjustmentCounty NameCounty CodeIs Dual Status 412 103 MGCRB LUGAR
100011.91860.78480.94850.94850.948528.736430.478131.836230.33432002010.0TrueHOUSTON1069True
100051.3810.78450.78050.81310.813128.41629.368929.329.0287126620.0TrueMARSHALL1095
100061.74340.71970.78050.81310.813129.179128.532229.135828.952252026620.0True0.0217LAUDERDALE1077True
100071.12420.67040.66290.75430.754324.327224.107724.466824.30271COVINGTON1039
100081.06130.68230.66290.75430.754323.468622.994327.026124.511CRENSHAW1041
100111.85010.80360.77960.81270.812737.485237.711734.655836.562713820JEFFERSON1073
100121.40840.7150.66290.75430.754327.883926.439527.015627.10211DE KALB1049
100161.75460.80360.77960.81270.812731.92533.660932.243432.618513820SHELBY1117
100181.25370.80360.77960.81270.812731.045631.588732.334431.714913820JEFFERSON1073
100191.38150.67040.66290.75430.754326.987727.919827.491127.457422520COLBERT1033